Individual
LAUREN E ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8245 FARNSWORTH RD STE B, WATERVILLE, OH 43566-9478
(419) 740-0545
Mailing address
4351 GILHOUSE RD, TOLEDO, OH 43623-2037
(419) 262-1739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2103118
OH
101YP2500X
Professional Counselor
Primary
E.2505009
OH
Other
Enumeration date
04/25/2019
Last updated
04/21/2025
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